Mehrab Beikzadeh

Shayan Fazeli, Lionel Levine, Mehrab Beikzadeh et al.

Recent advances in remote health monitoring systems have significantly benefited patients and played a crucial role in improving their quality of life. However, while physiological health-focused solutions have demonstrated increasing success and maturity, mental health-focused applications have seen comparatively limited success in spite of the fact that stress and anxiety disorders are among the most common issues people deal with in their daily lives. In the hopes of furthering progress in this domain through the development of a more robust analytic framework for the measurement of indicators of mental health, we propose a multi-modal semi-supervised framework for tracking physiological precursors of the stress response. Our methodology enables utilizing multi-modal data of differing domains and resolutions from wearable devices and leveraging them to map short-term episodes to semantically efficient embeddings for a given task. Additionally, we leverage an inter-modality contrastive objective, with the advantages of rendering our framework both modular and scalable. The focus on optimizing both local and global aspects of our embeddings via a hierarchical structure renders transferring knowledge and compatibility with other devices easier to achieve. In our pipeline, a task-specific pooling based on an attention mechanism, which estimates the contribution of each modality on an instance level, computes the final embeddings for observations. This additionally provides a thorough diagnostic insight into the data characteristics and highlights the importance of signals in the broader view of predicting episodes annotated per mental health status. We perform training experiments using a corpus of real-world data on perceived stress, and our results demonstrate the efficacy of the proposed approach in performance improvements.

Mehrab Beikzadeh, Yasaman Asadollah Salmanpour, Ashima Suvarna et al.

Mental health disorders affect over 1 billion people worldwide, yet access to care remains limited by workforce shortages and cost constraints. While AI systems show therapeutic promise, current alignment approaches optimize objectives independently, failing to balance patient preferences with clinical safety. We survey 335 individuals with lived mental health experience to collect preference rankings across therapeutic dimensions, then develop a multi-objective alignment framework using direct preference optimization. We train reward models for six criteria -- empathy, safety, active listening, self-motivated change, trust/rapport, and patient autonomy -- and systematically compare multi-objective approaches against single-objective optimization, supervised fine-tuning, and parameter merging. Multi-objective DPO (MODPO) achieves superior balance (77.6% empathy, 62.6% safety) compared to single-objective optimization (93.6% empathy, 47.8% safety), and therapeutic criteria outperform general communication principles by 17.2%. Blinded clinician evaluation confirms MODPO is consistently preferred, with LLM-evaluator agreement comparable to inter-clinician reliability.

Anaelia Ovalle, Mehrab Beikzadeh, Parshan Teimouri et al.

Large language models have been useful in expanding mental health care delivery. ChatGPT, in particular, has gained popularity for its ability to generate human-like dialogue. However, data-sensitive domains -- including but not limited to healthcare -- face challenges in using ChatGPT due to privacy and data-ownership concerns. To enable its utilization, we propose a text ambiguation framework that preserves user privacy. We ground this in the task of addressing stress prompted by user-provided texts to demonstrate the viability and helpfulness of privacy-preserved generations. Our results suggest that chatGPT recommendations are still able to be moderately helpful and relevant, even when the original user text is not provided.